ATI RN
ATI RN Maternal Newborn level 3 Final Exam 2023 (All Correct Answers). Maternal-Child Nursing Questions
Question 1 of 5
A nurse is caring for four newborns. Which of the following newborns should the nurse assess first?
Correct Answer: A
Rationale: The correct answer is A: newborn who has nasal flaring. Nasal flaring indicates respiratory distress, which is a priority concern in newborns as it can lead to hypoxia. The nurse should assess this newborn first to ensure adequate oxygenation.
B: Subconjunctival hemorrhage is common and not an urgent issue.
C: Overlapping suture lines are normal in newborns and do not require immediate attention.
D: Not passing rust-stained urine could indicate a metabolic issue but is not as urgent as respiratory distress.
Question 2 of 5
A nurse is assessing a newborn who was born Post term. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A - Nails extending over tips of fingers. Post-term newborns may have longer nails due to prolonged exposure in utero. This is because the baby had more time for nail growth compared to a term baby. Nails extending over the tips of the fingers is a common finding in post-term newborns. The other choices are incorrect because large deposits of subcutaneous fat (
B) are more common in term or postmature infants, pale, translucent skin (
C) is more characteristic of preterm infants, and a thin covering of fine hair on shoulders and back (
D) is typical of lanugo, which is usually shed before birth or shortly after for post-term infants.
Question 3 of 5
The nurse is teaching a client and her partner about the technique of counter pressure during labor. Which of the following statements by the nurse is appropriate?
Correct Answer: D
Rationale: The correct answer is D because counter pressure is typically applied to the lower back to help alleviate back pain during labor contractions. This technique can help relieve discomfort by stimulating pressure receptors and distracting from the pain of contractions.
Choice A is incorrect as upward pressure on the lower abdomen is not the standard technique for counter pressure.
Choice B is incorrect as applying pressure between the thumb and index finger is not relevant to counter pressure.
Choice C is incorrect as pressure should be applied to the lower back, not the top of the uterus, during contractions.
Question 4 of 5
A nurse is caring for a newborn who is 24 hr old. Which of the following Laboratory findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: WBC count 32,000/mm3. A newborn with a WBC count of 32,000/mm3 indicates a potential infection, as newborns typically have a higher WBC count initially due to stress of birth. It is important to report this finding to the provider for further evaluation and possible treatment.
Choices A, B, and C are within normal range for a 24-hour-old newborn, so they do not require immediate reporting.
Choice D, Hgb 20 g/dL, is not a typical laboratory finding for a newborn and would require further investigation, but it is not as urgent as a high WBC count indicating infection.
Question 5 of 5
A nurse is caring for a client who has a complete uterine rupture. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Hypotension. A complete uterine rupture is a serious complication where the uterine wall tears completely, leading to massive internal bleeding. This can result in hypotension due to blood loss. Early fetal heart rate decelerations (choice
A) are not indicative of uterine rupture. Painless, dark red vaginal bleeding (choice
C) is more commonly associated with placental abruption. Bounding peripheral pulses (choice
D) are not a typical finding in uterine rupture.